Individual
LATANDA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7207 COUNTY ROAD 1830, CROCKETT, TX 75835-6131
(936) 204-4354
Mailing address
PO BOX 901, LATEXO, TX 75849-0901
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
219199
TX
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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